3. - 86% women - 53% child < 18 in home - 68% < $15,000 - 27% < H.S. education - 45% out of work - 41% no health insurance Demographics Kreuter MW, et al (2012) Am J Prev Med Purnell J, et al. (2012) J Hlth Care Poor Underserved. Eddens K, et al. (2011) J Soc Serv Res.

4. - 77% bills - 42% home and family - 9% employment - 8% health - 6% housing - 10% other 2-1-1 service requests Kreuter MW (2012) Am J Prev Med

5. Rent Abusive partner Child behavior Sick parent

7. - colonoscopy - mammogram - HPV (self) - HPV (daughter) - Pap test - quitting smoking - smoke-free home Cancer control survey of callers

8. - 69% need at least one - 39% need two or more - 16% need three or more Cancer control needs Purnell J, et al. (2012) J Hlth Care Poor Underserved.

10. - 2-1-1 callers have significant cancer risks - These can be quickly identified though screening - When offered prevention referrals, many accept - Callers think it’s an appropriate role for 2-1-1s What we learned

11. What we still needed to learn - Will callers act on health referrals? - Will referrals lead to preventive health behaviors?

12. R

13. Contacted any referral 1-month follow-up (n=772) Percent 40 30 20 10 0 Kreuter MW, et al. (2012) Am J Prev Med.

14. Got mammogram or Pap test 4-month follow-up (n=429) * p <.05; ** p <.01 Navigation Tailoring Contacted referral Changed behavior -.139* -.175.434**.000.328** 1 month4 months

15. R Smoke-free homes study Emory + UNC, Texas-Houston, Wash U

16. Full household smoking ban 3-month follow-up (n=500) Percent 25 20 15 10 5 0 P <.003

17. In-home monitoring (3-mo FU; n=98) Nicotine concentration (µg/m 3 ) Mean 4.0 3.0 2.0 1.0 0 P <.004